Active NPI
Matias Relos Medina, MD
- Emergency Medicine Physician
- Victoria, TX
National Provider Identifier
1114936788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- E9803
- Practice address
- 506 E San Antonio St
Victoria, TX 77901-6060 - Phone
- (361) 788-6113
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | E9803 | TX | Primary |
Addresses
Primary practice location
506 E San Antonio St
Victoria, TX 77901-6060
Mailing address
15003 Jones Rd
Houston, TX 77070-1346
Phone (713) 446-7072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayside Emergency Pyhsicians, LLP | Emergency Medicine | Past | Accepting new patients |
| Bayside Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
| Camino Real Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
| Victoria Emergency Associates LLC | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Kingsville, TX
- NPI 1578598736
-
- Emergency Medicine Physician
- Beeville, TX
- NPI 1174558324
-
- Emergency Medicine Physician
- Livingston, TX
- NPI 1992871966
-
- Emergency Medicine Physician
- Victoria, TX
- NPI 1407917164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215043200000",
"number": "1114936788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15003 JONES RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770701346",
"telephone_number": "713-446-7072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 E SAN ANTONIO ST",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779016060",
"telephone_number": "361-788-6113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "MATIAS",
"middle_name": "RELOS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2008-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "E9803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.